Revenue Cycle Management Services

Revenue Cycle Management Services

Maximize revenue collection, minimize risks, and refocus resources on core activities. Our revenue cycle management services ensure compliance, accuracy, and reduced claim denials.

Efficient revenue cycle management or RCM is a critical challenge faced by billing companies, physician offices, hospitals, and software companies in healthcare industries. The intricacies of the revenue cycle often lead to errors, delays, and administrative burdens, which divert focus from core activities. Moreover, the complexities of regulatory changes and high rates of claim denials further impact financial stability and patient care. As a dedicated partner in RCM, we provide a comprehensive array of solutions tailored to address these multifaceted challenges.

Our end-to-end medical revenue cycle management services encompass medical billing, coding, and accounts receivable management, ensuring a streamlined process that minimizes errors and delays. Our team of experienced RCM consultants acts as guides, expertly navigating billing regulations, payer requirements, and industry best practices to ensure compliance and accuracy. With a keen focus on regulatory compliance, we stay updated with evolving regulations, safeguarding billing practices to meet industry standards. Ensuring utmost data security and confidentiality, we adhere to stringent compliance measures, with 100% HIPAA compliant processes and top data security certifications including ISO 27001 and SOC2.

Accurate coding, meticulous documentation, and efficient claims management is our forte, leading to increased revenue collection and enhanced financial stability. Our track record of 99%+ quality and 98% claims getting paid in the first pass indicate the high accuracy and efficiency of our claims processing. Moreover, our expertise in payer rules and compliance mitigates financial risks associated with denials, delays, and errors.

We address fluctuations in workloads through short-term staffing and overtime provisions, enabling you to manage peaks in demand effectively. The familiarity with various practice management systems further improves operational efficiency and accuracy, ensuring seamless integration with your existing infrastructure. RCM outsourcing to us not only eliminates overhead costs but also leads to significant savings in staff, infrastructure, and training. The strategic partnership enhances reimbursements, driving revenue growth while minimizing claim denials. You can refocus your valuable internal resources on core activities such as patient care, software development, or your organization's competencies.

Healthcare Revenue Cycle Management Services We Offer

We offer an array of specialized services tailored to meet the unique needs of billing companies, revenue cycle management firms, and other organizations in the healthcare sector. Our comprehensive solutions allow your organization to overcome revenue challenges, enhance patient care, and achieve operational excellence -

  1. Medical Claims Processing Services

    Medical Claims Processing Services

    Seamlessly navigate the intricate world of medical claims with our expert processing services. Our skilled team ensures accurate claim submissions, reducing denials and accelerating reimbursements.

  2. Accounts Receivables Services

    Accounts Receivables Services

    Enhance financial stability and cash flow with our dedicated accounts receivable management. Our proven strategies optimize collections and reduce outstanding balances.

  3. Insurance Eligibility Verification

    Insurance Eligibility Verification

    Minimize claim rejections and denials by leveraging our insurance eligibility verification services. We ensure accurate patient information and coverage details, enabling a smoother claims process and improved reimbursements.

  4. Denial Management Services

    Denial Management Services

    Tackle claim denials head-on with our comprehensive denial management solutions. Our experienced team identifies root causes, implements corrective measures, and ensures a higher percentage of claims get paid on the first pass.

  5. Accounts Receivable Conversion Services

    Accounts Receivable Conversion Services

    Transform your accounts receivable process for greater efficiency and accuracy. Our conversion services streamline data entry and billing, leading to reduced errors and improved overall revenue cycle performance.

  6. Payment Posting Services

    Payment Posting Services

    Ensure accurate and timely posting of payments with our dedicated services. We streamline the payment posting process, reducing discrepancies and ensuring your financial records are up-to-date.

  7. Healthcare Payer Services

    Healthcare Payer Services

    Partner with us for expert management of payer relationships. Our services encompass contract negotiations, fee schedule analysis, and payer compliance, ensuring optimal reimbursements and sustained financial growth.

  8. Healthcare Collection Services

    Healthcare Collection Services

    Navigate the challenging terrain of healthcare collections with confidence. Our experienced team employs ethical and strategic collection methods, reducing outstanding balances and improving overall financial health.

  9. Dental Revenue Cycle Management Services

    Dental Revenue Cycle Management Services

    Tailored specifically for dental practices, our RCM services optimize revenue collection, streamline claims processing, and enhance patient experience.

  10. Accounts Receivable Follow-up

    Accounts Receivable Follow-up

    Accelerate revenue realization with our diligent accounts receivable follow-up services. Our team tirelessly pursues outstanding payments, reducing aging accounts and improving cash flow.

  11. Patient Experience

    Patient Experience

    Elevate patient satisfaction and loyalty through our patient experience solutions. By streamlining billing processes, improving communication, and ensuring accurate statements, we enhance patient interactions and overall satisfaction.

  12. Revenue Cycle Analytics

    Revenue Cycle Analytics

    Unlock valuable insights into your revenue cycle performance with our advanced analytics. Make informed decisions, identify trends, and optimize strategies for enhanced financial outcomes.

Process Flow for Our RCM Services

Navigating the complexities of revenue cycle management in the healthcare sector requires a strategic approach that ensures accurate claims processing, timely reimbursements, and minimized denials. We have streamlined this process to provide you with comprehensive and efficient revenue cycle management solutions. Here is how our services work -

 

01. Patient Pre-authorization

Initiating the revenue cycle with pre-authorization ensures a smooth billing process, minimizing delays and denials down the line.

 

02. Insurance Eligibility and Verification

Our experts handle the entire claims submission process, from accurate coding to timely submissions, optimizing your reimbursement potential.

 

03. Insurance Claims Submission

Our experts handle the entire claims submission process, from accurate coding to timely submissions, optimizing your reimbursement potential.

 

04. Payment Posting

Efficient payment posting and reconciliation processes guarantee accurate financial records and improved cash flow.

 

05. Denial management

Our dedicated denial management team identifies and addresses claim denials promptly, maximizing revenue collection.

 

06. Reporting

Gain valuable insights into your revenue cycle performance through comprehensive reporting, enabling data-driven decision-making and continuous improvement.

Medical Revenue Cycle Management Services Software We Use

Having been in the healthcare industry for over 20 years now, we understand the exact requirements of clients and provide RCM healthcare services accordingly. We leverage some of the best and latest tools and technologies to deliver quality RCM solutions to clients. Some of the tools we make use of include -

NextGen healthcare Kareo Billing & EHR eClinicalWorks AdvancedMD brightree medisoft Athenahealth MediTouch athenahealth Billing & EHR AdvancedMd Billing Epic Billing AdvantX Billing CareCloud Billing Centricity Lytec Billing Misys Modernizing Medicine Billing & EHR Nex-tech Billing & EHR Proclaim Pulse SequelMed TotalMD Billing

Why Choose Us as Your Revenue Cycle Management Company?

As a dedicated partner in healthcare revenue cycle management, we understand the unique challenges you face in the ever-evolving healthcare sector. Our tailored solutions are designed to address these challenges, providing you with a seamless path to financial stability and success. By choosing us as your revenue cycle management service provider, you are making a strategic decision that goes beyond mere outsourcing – it is a partnership that delivers tangible results. Benefits of our revenue cycle management outsourcing services include -

  • Lower Overheads

    Our services eliminate the need for extensive in-house resources and extensive infrastructure, reducing your operational costs significantly and freeing up valuable resources for core activities.

  • High Quality of Services

    Experience exceptional quality and accuracy in every aspect of revenue cycle management, ensuring meticulous documentation, claims processing, and compliance.

  • Reduced Operational Challenges

    Unburden your organization from complex revenue cycle challenges, allowing your top management to concentrate on strategic business growth initiatives.

  • Familiarity with Top Practice Management Systems

    Benefit from our deep understanding of diverse practice management systems, enhancing operational efficiency and accuracy in every aspect of revenue cycle management.

  • Short Turnaround Time

    Experience prompt and efficient service delivery with our average Turnaround Time (TAT) of 24 hours or less, ensuring timely claim submissions and reimbursements.

  • 100% HIPAA Compliant Processes

    Rest assured knowing that our services adhere to strict HIPAA compliance standards, safeguarding patient data and maintaining confidentiality.

  • Security Certifications Including ISO 27001/SOC2

    We prioritize data security with top certifications, including ISO 27001 and SOC2, offering you peace of mind in an era of increasing data vulnerability.

  • Scalability

    Experience operational flexibility with our ability to scale up or down based on your changing requirements, ensuring consistent service delivery regardless of volume fluctuations.

Additional Services You Can Benefit From

Medical Transcription Services

We provide HIPAA-compliant medical transcription solutions and services to healthcare providers worldwide.

Medical Billing Services

If you are looking for accurate and reliable medical billing support for your company, we have got you covered. We provide 100% reliable coding services.

Medical Coding Services

Our medical coding services are provided by seasoned healthcare professionals with a firm grasp of the concepts in their field.

Pharmacy Business Services

If you are looking for support for your pharmacy business, you are in the right place. We provide comprehensive services for all requirements.

Healthcare Claims Adjudication Services

We have significant experience and expertise in handling all types of medical claims. We ensure that all claims are processed and payments received.

EMR Services

We can remotely manage your EMR and EHR records so that they are spotlessly clean and can be relied upon to make informed decisions.

Telehealth Services

If you are looking to partner with a pioneering provider of telehealth services, you are in the right place. We use digital technologies to make healthcare accessible to all.

Medical Animation Services

We have been designing and creating medical animations for over 20 years. Our seasoned animators have created animations of devices and complex concepts.

Client Success Stories

FWS Provided Cost-effective Revenue Cycle Management Services

Healthcare Account Receivable Services

A leading client was looking for a partner who could help them with accurate account receivable services. Our team provided the services within a quick time.

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FWS Provided Insurance Eligibility Verification to a Telemedicine Provider

Insurance Eligibility and Verification Services

A leading birth control telemedicine provider was looking for a service provider who could help them with insurance eligibility and verification services. Our team provided the services in no time.

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Outsource Revenue Cycle Management Services to Us

Testimonials

Thank you ALL for all that you do! You're providing STELLAR services.

Director of Revenue Management Operations, Medical Company in Illinois More Testimonials »

Organizations in the healthcare sector face a multitude of challenges when managing their revenue cycles, and outsourcing healthcare revenue cycle management services provides a strategic solution to these complexities. Our streamlined RCM processes simplify the revenue cycle, minimizing errors and delays that often arise from the complexity of billing, coding, and reimbursement. This translates to improved financial performance through accurate coding, meticulous documentation, and efficient claims management, resulting in increased revenue collection and stability.

By partnering with us, healthcare organizations can enhance their bottom line while redirecting their focus to other essential tasks. With the focus on core activities, organizations can reallocate internal resources, effectively navigating fluctuations in workloads and patient volume while maintaining high standards of care. Our tailored RCM solutions also offer mitigated risks through expertise in payer rules and compliance and customized approaches that optimize efficiency and revenue, ensuring a seamless and effective revenue cycle management strategy.

Reach out to us for streamlined RCM processes that enhance financial stability, patient experience, and operational efficiency.

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USA

Flatworld Solutions

116 Village Blvd, Suite 200, Princeton, NJ 08540

PHILIPPINES

Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000


KSS Building, Buhangin Road Cor Olive Street, Davao City 8000

Our Customers

  • Movement Mortgage
  • Alcon
  • ARI
  • Maximus
  • Redwood E-Learning Systems

AHIMA Healthcare Convention 2016 Read More

Frequently Asked Questions (FAQs)

What are the benefits of outsourcing revenue cycle management services?

Outsourcing RCM services offers benefits such as streamlined processes, improved financial performance, reduced claim denials, enhanced patient experience, scalability, risk mitigation, and the ability to focus on core activities.

How to choose an RCM Services company?

When choosing an RCM services company, consider factors like their experience, expertise, track record, compliance with regulations, integration capabilities, range of services, customer reviews, and the ability to provide tailored solutions.

Do you offer end-to-end RCM Support?

Yes, we provide end-to-end RCM support, including medical claims processing, insurance eligibility verification, claims submission, denial management, payment posting, reporting, and more.

How much does our RCM services cost?

The cost of our RCM services may vary based on factors such as the scope of services, organization size, complexity, and specific needs. Please contact us for a tailored quote.

How long does it take to transition to your healthcare RCM service?

The transition to our healthcare RCM service timeline can vary depending on the complexity of your current processes, data migration, and integration requirements. Our team will work closely with you to ensure a smooth and efficient transition.